《中国康复理论与实践》

《中国康复理论与实践》 ›› 2003, Vol. 9 ›› Issue (08): 479-481.

• 临床研究 • 上一篇    下一篇

综合医院对疑似SARS患者的早期诊断和治疗

赵红梅1,2; 刘雪白3; 孟申1,2; 李培兰1,2; 王志1,2; 陈思远1,2; 阎春良4; 李茂荣4   

  1. 1.首都医科大学康复医学院 北京市 100068;2.北京博爱医院 北京市 100068;3.北京丰台医院 北京市 100071;4.航天部711医院 北京市 100076
  • 收稿日期:2003-06-18 出版日期:2003-08-25 发布日期:2003-08-25

Early diagnosis and treatment on suspected SARS patients in general hospital

ZHAO Hong-mei, LIU Xue-bai, MENG Shen, et al   

  1. Department of Internal Medicine, Beijing Charity Hospital, Beijing 100068, China
  • Received:2003-06-18 Published:2003-08-25 Online:2003-08-25

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摘要： 目的通过临床观察,探索疑似严重急性呼吸综合征 (severe acute resPirator ysyndrome,SARS)患者的诊断以及相关因素的影响,完成最终诊断及相应的治疗处理。方法采用前瞻性研究方法对100例疑似SARS患者的症状、实验室检查、肺部影像学检查以及治疗进行追踪分析。结果100例疑似患者中,确诊SARS 66例,排除34例(其中支原体肺炎4例、肺结核2例,其余为一般细菌性肺炎)。结论SARS没有特征性临床表现,在没有金标准诊断的情况下,对疑似SARS患者的消毒隔离应等同于SARS患者,诊断治疗应综合考虑,以防漏诊、误诊。

关键词: 疑似病例, 严重急性呼吸综合征, 早期诊断, 治疗

Abstract: ObjectiveTo investigate the diagnosis and correlative factors of suspected severe acute respiratory synd rome (SARS) cases, and finally, complete the diagnosis and treatment.MethodsTo analyze the clinical, laboratory data,chest radiog raph and treatment of 100 suspected SARS cases.ResultsAmong 100 suspected SARS cases,66 were diagnosed as SARS,4 were mycoplasma l pneumonia, 2 were pulmonary tuberculosis,the others were general bacteria pne umonia.Conclusions SARS hasn't characteristic clin ical manifestation.Because there is not a gold diagnosis standard up to now, the disinfection and isolation of suspected SARS cases should be treated as SARS c ases. In order to prevent missed and misdiagnosis, the diagnosis and treatment s hould be synthetically thought.

Key words: suspected case, severe acute re spiratory syndrome (SARS), early diagnosis, treatment